Compressions ongoing on arrival
You establish yourself as the code leader
Next steps?
What’s your next step?
Turn up the gain; Enroll help: “Are we certain this is asystole?”
Anesthesia ready to intubate, asks for a moment before resuming compressions
Only a few things matter
If they don’t have a pulse, someone is performing high quality compressions with NO significant breaks
Shock early when they have a shockable rhythm
How else can we detect ROSC?
EtCO2
POCUS(?)
Doppler
When in doubt, continue compressions
Use EtCO2 to help detect ROSC
EtCO2 = 36
Summary:
DO NOT MISS FINE V.Fib
Only allow, at most, a few seconds of CPR delay for intubation/Lucas
Use EtCO2